Yesterday
Unspecified
Mid Level Career (5+ yrs experience)
Occasional travel
Healthcare and Science
Falls Church, VA•San Antonio, TX
Blue Iris Tech is seeking a Revenue Cycle Management Integration (RCMI) Senior Solution Technical Expert (SSTE) to support the Defense Health Agency (DHA) Financial Operations Division. The objective of this role is to assist in optimizing revenue cycle performance by identifying improvement opportunities, reducing MHS GENESIS work queue backlog, increasing clinical workload capture, enhancing Third Party Collections (TPC), identifying and mitigating revenue leakage, and strengthening the enterprise’s ability to capture workload and revenue data. This position directly supports Military Treatment Facility (MTF) staff in improving business operations and audit readiness.
Key Responsibilities Include, but Are Not Limited To:
Serve as a technical expert in the configuration, optimization, and enhancement of MHS GENESIS Revenue Cycle Management (RCM) functionality, including addressing gaps impacting workload and revenue capture.
Lead or support the development, implementation, and validation testing of systematic RCM builds within MHS GENESIS.
Resolve issues through ticket queuing systems and track resolution progress efficiently.
Collaborate with RCM stakeholders across DHA, including within and beyond the J8 Directorate, to implement enhancements, troubleshoot issues, and ensure solution alignment with business requirements.
Where applicable, support the development, modification, optimization, and integration of RCM workflows into clinical workflows, with the ability to identify and troubleshoot system errors caused by outdated or incorrectly built processes.
Provide training, communication, and change management support to DHA, DHN, and MTF stakeholders to improve end-user adoption, understanding, and performance across Revenue Cycle functions.
Leverage MHS business acumen to ensure configuration changes align with operational goals, clinical practices, and audit standards.
Qualifications
Required Qualifications:
Ability to obtain a Favorable Suitability Adjudication based on a Tier 2 background investigation.
U.S. citizenship is required due to federal contract and clearance requirements.
Minimum of four (4) years of experience (preferred) with direct Oracle/Cerner EHR Revenue Cycle Management (RCM) solution activities, including initial builds, troubleshooting, issue resolution, and system reconfigurations. Experience under four years may be considered on a case-by-case basis.
Bachelor’s degree in a clinical or healthcare-related field is required. An Associate degree with an additional five (5) years of Revenue Cycle experience may substitute for the Bachelor’s degree.
Strong analytical skills with the ability to interpret complex data, reports, and workflows related to revenue cycle integrity and to identify and resolve associated issues.
Excellent collaboration and communication skills, with the ability to engage effectively with team members, clients, business partners, and diverse stakeholders in revenue cycle operations.
Proven ability to thrive in a fast-paced, dynamic team environment and meet tight deadlines.
Proficiency in Microsoft Office 365, including Excel, Word, and PowerPoint.
Excellent oral, written, and interpersonal communication skills.
Desired Qualifications:
Substantial experience working within the Military Health System (MHS) and a thorough understanding of revenue cycle operations in that environment.
Proficiency in the use of tools and systems supporting Revenue Cycle operations, including:
EHR systems: Oracle/Cerner CPAM
Billing and claims platforms: SSI Clearinghouse, 3M 360 Encompass (Institutional & Professional Coding), Alpha II Claim Scrubber, RevSpring
Data analysis/reporting tools: Excel, Power BI, SAS, Tableau, HealtheAnalytics
Reports and dashboards: HealtheAnalytics, Discern Reporting Portal, Lights On Network
Subject matter expertise in one or more of the following RCM domains:
Patient Accounting, Supply, PathNet, Business Standards & Workflow, Business Support, Registration, Scheduling, Appointing, Patient Care Location, Referral Management, Forms & Documentation, Orders/Rules & Alerts.
Experience designing and developing educational course materials for MHS GENESIS RCM Solution Owner Teams, including intermediate and advanced end-user training.
Ability to identify and address training gaps related to edit failures (e.g., Alpha II Scrubber, SSI Clearinghouse Scrubber) that impact encounter completion efficiency.
Key Responsibilities Include, but Are Not Limited To:
Serve as a technical expert in the configuration, optimization, and enhancement of MHS GENESIS Revenue Cycle Management (RCM) functionality, including addressing gaps impacting workload and revenue capture.
Lead or support the development, implementation, and validation testing of systematic RCM builds within MHS GENESIS.
Resolve issues through ticket queuing systems and track resolution progress efficiently.
Collaborate with RCM stakeholders across DHA, including within and beyond the J8 Directorate, to implement enhancements, troubleshoot issues, and ensure solution alignment with business requirements.
Where applicable, support the development, modification, optimization, and integration of RCM workflows into clinical workflows, with the ability to identify and troubleshoot system errors caused by outdated or incorrectly built processes.
Provide training, communication, and change management support to DHA, DHN, and MTF stakeholders to improve end-user adoption, understanding, and performance across Revenue Cycle functions.
Leverage MHS business acumen to ensure configuration changes align with operational goals, clinical practices, and audit standards.
Qualifications
Required Qualifications:
Ability to obtain a Favorable Suitability Adjudication based on a Tier 2 background investigation.
U.S. citizenship is required due to federal contract and clearance requirements.
Minimum of four (4) years of experience (preferred) with direct Oracle/Cerner EHR Revenue Cycle Management (RCM) solution activities, including initial builds, troubleshooting, issue resolution, and system reconfigurations. Experience under four years may be considered on a case-by-case basis.
Bachelor’s degree in a clinical or healthcare-related field is required. An Associate degree with an additional five (5) years of Revenue Cycle experience may substitute for the Bachelor’s degree.
Strong analytical skills with the ability to interpret complex data, reports, and workflows related to revenue cycle integrity and to identify and resolve associated issues.
Excellent collaboration and communication skills, with the ability to engage effectively with team members, clients, business partners, and diverse stakeholders in revenue cycle operations.
Proven ability to thrive in a fast-paced, dynamic team environment and meet tight deadlines.
Proficiency in Microsoft Office 365, including Excel, Word, and PowerPoint.
Excellent oral, written, and interpersonal communication skills.
Desired Qualifications:
Substantial experience working within the Military Health System (MHS) and a thorough understanding of revenue cycle operations in that environment.
Proficiency in the use of tools and systems supporting Revenue Cycle operations, including:
EHR systems: Oracle/Cerner CPAM
Billing and claims platforms: SSI Clearinghouse, 3M 360 Encompass (Institutional & Professional Coding), Alpha II Claim Scrubber, RevSpring
Data analysis/reporting tools: Excel, Power BI, SAS, Tableau, HealtheAnalytics
Reports and dashboards: HealtheAnalytics, Discern Reporting Portal, Lights On Network
Subject matter expertise in one or more of the following RCM domains:
Patient Accounting, Supply, PathNet, Business Standards & Workflow, Business Support, Registration, Scheduling, Appointing, Patient Care Location, Referral Management, Forms & Documentation, Orders/Rules & Alerts.
Experience designing and developing educational course materials for MHS GENESIS RCM Solution Owner Teams, including intermediate and advanced end-user training.
Ability to identify and address training gaps related to edit failures (e.g., Alpha II Scrubber, SSI Clearinghouse Scrubber) that impact encounter completion efficiency.
group id: 91140005
